Method of quantifying small-sized low density lipoprotein

ABSTRACT

The object of the present invention is to provide a fast and simple method for fractional measurement of a small particle LDL. A method for quantifying a small particle low density lipoprotein in a test sample, comprising a first step for separating the small particle low density lipoprotein from other low density lipoproteins, and a second step for measuring cholesterol, triglycerides or proteins in the separated small particle low density lipoprotein.

TECHNICAL FIELD

The present invention relates to a method for fractional quantitativemeasurements of small particle low density lipoproteins which isimportant for clinical diagnosis of arteriosclerosis.

BACKGROUND ART

Low density lipoproteins (LDLs) play a major role in cholesteroltransport in the blood and is a risk factor for arteriosclerosis. It isknown that a small particle low density lipoprotein (hereinafter “smallparticle LDL”), which is especially smaller in particle size among LDLsand higher in density than standard LDL, is associated with a severalfold increase in risk for arteriosclerosis as compared to normal LDL.Increase of small particle LDL is one of the major risk factors forarteriosclerosis. It is clinically very important to have a fractionalmeasurement for small particle LDL.

The conventional methods for measuring small particle LDL useultracentrifugation, electrophoresis, high speed liquid chromatographyand the like. The ultracentrifugation method isolates small particle LDLby using differences in the density, and the quantities of cholesteroland protein therein are measured. Small particle LDL is fractionated indensities between 1.040 and 1.063 (Atherosclerosis, 48 p. 33-49, 1993:Atherosclerosis, 106, p. 241-253, 1994, etc.). However, this methodrequires expensive facilities, and it is time consuming to makemeasurements. The electrophoresis method measures the mobility and theparticle diameter of a LDL using a polyacrylamide gel. The particle sizeof a small particle LDL is below 25.5 nm (JAMA, 260, p. 1917-21, 1988,etc.), and the relative mobility of LDLs (moving distance from VLDL toLDL divided by the moving distance from VLDL to HDL) is not less than0.4 (Domyakukoka (arteriosclerosis), 25, p. 67-70, 1997). However, thesemethods are for measuring the degree of a small LDL particle in LDLs,and they are not used to obtain a quantitative measurement. Also, thenumber of samples that can be tested at one time is limited, and ittakes a long time to make measurements. Recently, a method for measuringlipoprotein was invented. In this method, after electrophoresis, anagarose gel is stained for a lipid, and the staining pattern is analyzedusing a computer, and a quantitative measurement of lipoprotein isobtained (Japanese Patent Publication Laid Open No. 2000-356641). Thisis a method for analyzing denatured LDL such as oxidized LDL, acetylatedLDL, glycosylated LDL, MDA-LDL and the like. Small particle LDLs can notbe measured accurately by this method. Since the analysis requires veryexpensive equipment, this is not suitable for general use.

Conventionally, in the measurement of a HDL, it is known that acombination of a polyanion with a divalent cation can be used as aseparation agent to isolate the HDL by coagulating lipoproteins otherthan HDL. For example, methods using dextran sulfate-Mg²⁺ (Clin. Chem.,28, p. 1379-88, 1982, and the like), heparin-Mn²⁺ (J Lipid Res. 19, p.65-76, 1978, and the like), heparin-Ca²⁺ (Arch. Biochem. Biophys., 170,p. 334-40, 1975, and the like)and phosphotungstic acid-Mg²⁺ (Clin.Chem., 23, p. 882-84, 1977, and the like)and the like are known.Further, a method has been reported for calculating the fractions of LDLand VLDL by stepwise precipitations of lipoproteins using severalseparation agents (Japanese Patent Publication Laid Open No. 7-294532,Rinsho-Byori, Special Edition 21, 82, 1975, and the like). Stillfurther, a method for separating HDL using polyethylene glycol has alsobeen reported (Ann. Clin. Biochem. 18 p. 177-81, 1981).

Furthermore, there have been conventional methods such as a method inwhich by stepwise precipitation of the lipoproteins using a plurality ofseparation agents, each lipoprotein is measured based on differences intheir turbidity (Rinsho-Byori, Special Edition 21, 82, 1975, and thelike), and a method in which a small particle LDL is suspended ordissolved according to differences in ionic strength and the smallparticle LDL is measured by differences in absorbency (Japanese PatentPublication Laid Open No. 2003-28882). However, because light absorbencyis measured, specificity and accuracy have been insufficient.

-   Patent document 1 Japanese Patent Publication Laid Open No.    2000-356641-   Patent document 2 Japanese Patent Publication Laid Open No. 7-294532-   Patent document 3 Japanese Patent Publication Laid Open No.    2003-28882-   Non-patent document 1 Atherosclerosis, 48 p. 33-49, 1993-   Non-patent document 2 Atherosclerosis, 106, p. 241-253, 1994-   Non-patent document 3 JAMA, 260, p. 1917-21, 1988-   Non-patent document 4 Domyakukoka, 25, p. 67-70, 1997-   Non-patent document 5 Clin. Chem., 28, p. 1379-88, 1982-   Non-patent document 6 J Lipid Res. 19, p. 65-76, 1978-   Non-patent document 7 Arch. Biochem. Biophys., 170, p. 334-40, 1975-   Non-patent document 8 Clin. Chem., 23, p. 882-84, 1977-   Non-patent document 9 Rinsho-Byori, Special Edition 21, 82, 1975-   Non-patent document 10 Ann. Clin. Biochem. 18 p. 177-81, 1981

DISCLOSURE OF THE INVENTION

The object of the present invention is to provide a fast and simplemethod for fractional measurement of a small particle LDL.

As described above, the use of separation agents such as polyanions,divalent cations and the like for coagulating lipoproteins other thanHDLs in a lipoprotein mixture has been reported. Major fractions in thelipoprotein mixture such as VLDL, LDL and HDL may be separated by theseparation agents due to differences in their physical properties.However, no attempt has been made to separate LDL into sub-fractions bya similar method.

The present inventors, having extensively investigated methods forseparating a small particle LDL, discovered that a small particle LDLmay be separated from other LDLs by treating the test sample with apolyanion and a divalent cation at appropriate concentrations. Betterseparation of a small particle LDL is achieved by further adding amonovalent cation which acts as an ionic strength adjuster. Further, asimilar effect was obtained by using PEG in place of the polyanion,divalent cation and monovalent cation.

The present inventors have investigated in detail the concentrations ofthe polyanion, divalent cation and monovalent cation when they are usedin combination and also the concentration of PEG when PEG is used. Byestablishing a range of concentrations to be used, they discovered theconditions under which a small particle LDL may be separated from a LDLparticle mixture by coagulating the LDL other than small particle LDLs.By this reaction, the LDL other than small particle LDLs forms acoagula, which will be eliminated from the reaction mixture bycentrifugation or filtration. By applying a reagent for measuring LDLcholesterol, a reagent for measuring triglycerides in a LDL, oranti-human apoprotein B antibody to the reaction mixture after coagularemoval, the cholesterol, triglycerides or protein in the small particleLDL can be quantitatively measured, and thus the present invention iscompleted.

Compared to above described method for measuring a small particle LDLbased on differences in absorbency after suspending or dissolving thesmall particle LDL utilizing differences in ionic strength (JapanesePatent Publication Laid Open No. 2003-28882), the present invention issuperior in specificity and accuracy because cholesterol, triglyceridesand protein are measured in small particle LDL after separation.

The present invention provides the following methods and kits:

(1) A method for quantifying a small particle low density lipoprotein ina test sample, comprising a first step for separating the small particlelow density lipoprotein from other low density lipoproteins, and asecond step for measuring cholesterol, triglycerides or proteins in theseparated small particle low density lipoprotein.

(2) A method according to (1) wherein a polyanion and a divalent cationare used for separating the small particle low density lipoprotein fromother low density lipoproteins in the first step.

(3) A method according to (1) or (2) wherein a monovalent cation isfurther used for separating the small particle low density lipoproteinfrom other low density lipoproteins in the first step.

(4) A method according to (2) or (3) wherein the polyanion used in thefirst step is selected from the group consisting of a group consistingof heparin, phosphotungstic acid and dextran sulfate.

(5) A method according to any one of (2) to (4) wherein the divalentcation used in the first step is selected from the group consisting of agroup consisting of Mn²⁺, Mg²⁺ and Ca²⁺.

(6) A method according to (3) or (5) wherein the monovalent cation usedin the first step is selected from the group consisting of a groupconsisting of Na⁺, K⁺and Li⁺.

(7) A method according to any one of (4) to (6) wherein, when thepolyanion is added to the test sample, the final concentration of thepolyanion is 10-250 U/mL for heparin, 0.02-1.25% for dextran sulfate and0.02-1.25% for phosphotungstic acid.

(8) A method according to any one of (5) to (7) wherein, when thedivalent cation is added to the test sample, the final concentration ofthe divalent cation is 2.5-35 mmol/L for Mn²⁺, 2.5-125 mmol/L for Mg²⁺and 1-75 mmol/L for Ca²⁺.

(9) A method according to any one of (6) to (8) wherein, when themonovalent cation is added to the test sample, the final concentrationof the monovalent cation is 0-50 mmol/L.

(10) A method according to (1) wherein PEG is used to separate the smallparticle low density lipoprotein from other low density lipoproteins inthe first step.

(11) A method according to (10) wherein the final concentration of PEGis 2-5% when PEG is added to the test sample.

(12) A method according to any one of (1) to (11) wherein themeasurement of cholesterol in the second step is carried out by using areagent which is used for quantitatively measuring cholesterol in a lowdensity lipoprotein and which does not require fractionation.

(13) A method according to any one of (1) to (11) wherein themeasurement of triglycerides in the second step is carried out by usinga reagent which is used for quantitatively measuring triglycerides inlow density lipoprotein and which does not require fractionation.

(14) A method according to any one of (1) to (11) wherein themeasurement of protein in the second step is carried out by usinganti-human apoprotein B antibody.

(15) A method for separating a small particle low density lipoproteinfrom a test sample comprising a step in which the low densitylipoprotein other than small particle low density lipoproteins isprecipitated by adding a polyanion and a divalent cation to the testsample.

(16) A method according to (15) comprising a step in which the lowdensity lipoprotein other than small particle low density lipoproteinsis precipitated by also adding a monovalent cation to the test sample.

(17) A method for separating a small particle low density lipoproteinaccording to (15) or (16), wherein the polyanion is selected from thegroup consisting of a group consisting of heparin, phosphotungstic acidand dextran sulfate.

(18) A method for separating a small particle low density lipoproteinaccording to any one of (15) to (17), wherein the divalent cation isselected from the group consisting of a group consisting of Mn²⁺, Mg²⁺and Ca²⁺.

(19) A method for separating a small particle low density lipoproteinaccording to any one of (15) to (18) wherein the monovalent cation isselected from the group consisting of a group consisting of Na⁺, K⁺ andLi⁺.

(20) A method for separating a small particle low density lipoproteinaccording to any one of (17) to (19), wherein, when the polyanion isadded to the test sample, the final concentration of the polyanion is10-250 U/mL for heparin, 0.02-1.25% for dextran sulfate and 0.02-1.25%for phosphotungstic acid.

(21) A method for separating a small particle low density lipoproteinaccording to any one of (18) to (20), wherein, when the divalent cationis added to the test sample, the final concentration of the divalentcation is 2.5-35 mmol/L for Mn²⁺, 2.5-125 mmol/L for Mg²⁺ and 1-75mmol/L for Ca²⁺.

(22) A method for separating a small particle low density lipoproteinaccording to any one of (19) to (21), wherein, when the monovalentcation is added to the test sample, the final concentration of themonovalent cation is 0-50 mmol/L.

(23) A method for separating a small particle low density lipoproteinfrom a test sample comprising a step in which PEG is added to the testsample to precipitate the low density lipoprotein other than smallparticle low density lipoproteins.

(24) A method for separating a small particle low density lipoproteinaccording to (23) wherein the final concentration of PEG is 2-5% whenPEG is added to the test sample.

(25) A kit for measuring a small particle low density lipoproteincomprising: a separation agent that includes a polyanion and a divalentcation; and a reagent for measuring the low density lipoprotein, whereinthe kit measures cholesterol, triglycerides or proteins in the smallparticle low density lipoprotein.

(26) A kit for measuring a small particle low density lipoproteinaccording to (25), wherein the separation agent further includes amonovalent cation.

(27) A kit for measuring a small particle low density lipoproteincomprising: a separation agent that includes PEG; and a reagent formeasuring the low density lipoprotein, wherein the kit measurescholesterol, triglycerides or proteins in the small particle low densitylipoprotein.

(28) A kit according to (25) or (26) wherein the polyanion is selectedfrom the group consisting of a group consisting of heparin,phosphotungstic acid and dextran sulfate.

(29) A kit according to (26) or (28) wherein the divalent cation isselected from the group consisting of a group consisting of Mn²⁺, Mg²⁺and Ca²⁺ and the monovalent cation is selected from the group consistingof a group consisting of Na⁺, K⁺ and Li⁺.

This description hereby incorporates the entire content of thedescription and/or the drawings of the Japanese Patent Application No.2002-35519 that is the basis of the priority claim of this application.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 illustrates the first step of the method of the presentinvention.

FIG. 2 illustrates the effect of the first step of the present inventionin Example 1.

FIG. 3 demonstrates the relationship between the measured value ofcholesterol in a small particle LDL according to the method of thepresent invention in Example 2 and the measured value of cholesterol ina small particle LDL by the ultracentrifugation method.

FIG. 4 demonstrates the relationship between the measured value of apoBprotein in a small particle LDL according to the method of the presentinvention in Example 3 and the measured value of apoB protein in a smallparticle LDL by the ultracentrifugation method.

FIG. 5 demonstrates the relationship between the measured value ofcholesterol in a small particle LDL according to the method of thepresent invention in Example 4 and the measured value of cholesterol ina small particle LDL by the ultracentrifugation method.

FIG. 6 demonstrates the relationship between the measured value ofcholesterol in a small particle LDL according to the method of thepresent invention in Example 5 and the measured value of cholesterol ina small particle LDL by the ultracentrifugation method.

FIG. 7 demonstrates the relationship between the measured value ofcholesterol in a small particle LDL according to the method of thepresent invention in Example 6 and the measured value of cholesterol ina small particle LDL by the ultracentrifugation method.

FIG. 8 demonstrates the relationship between the measured value ofcholesterol in a small particle LDL according to the method of thepresent invention in Example 7 and the measured value of cholesterol ina small particle LDL by the ultracentrifugation method.

FIG. 9 demonstrates the relationship between the measured value oftriglycerides in a small particle LDL according to the method of thepresent invention in Example 8 and the measured value of triglyceridesin a small particle LDL by the ultracentrifugation method.

FIG. 10 demonstrates the relationship between the measured value ofcholesterol in a small particle LDL according to the method of thepresent invention in Example 9 and the measured value of cholesterol ina small particle LDL by the ultracentrifugation method.

BEST MODE FOR CARRYING OUT THE INVENTION

The present invention will be explained in detail as follows.

The method of the present invention comprises a first step and a secondstep. In the first step, a test sample is mixed with a separation fluidcontaining a polyanion and a divalent cation or with another separationfluid containing a polyanion, a divalent cation and a monovalent cationor with PEG. After reacting the mixture for a predetermined time, VLDLsand LDLs other than a small dense particle is coagulated and removed bycentrifugation or filtration. In the second step, cholesterol,triglyceride and protein in the small particle LDL are measured. In thefirst step, the HDLs as well as the small particle LDL remain in thesolution after the above mentioned lipoprotein is removed. However,fractional measurements may be performed on the small particle LDLcomponent only, by using a LDL cholesterol measuring reagent or atriglyceride measuring reagent for LDLs, or by applying an anti-humanapoprotein B antibody.

As described above, a lipoprotein can be fractionated roughly intoVLDLs, LDLs and HDLs, and LDL is sub-fractionated into a small particleLDL and other sub-fractions. A small particle LDL is also called SLDL(small LDL), small dense LDL or dense LDL, and LDL other than smallparticle LDL is sometimes called LLDL (large LDL) or Light LDL. Thesefractions and sub-fractions may be distinguished based on particle sizeor specific gravity. The particle size in diameter is, 30 nm-80 nm (30nm-75 nm) for VLDL, 22 nm-28 nm (19 nm-30 nm) for LDL and 7 nm-10 nm forHDL, although they may vary depending on the researchers. The density isbelow 1.006 for VLDL, 1.019-1.063 for LDL and 1.063-1.21 for HDL. Thediameter of LDL particles can be measured by gradient gelelectrophoresis (GGE) (JAMA, 260, p. 1917-21, 1988) or NMR(HANDBOOK OFLIPOPROTEIN TESTING 2^(nd) Edition, Edited by Nader Rifai et al. p.609-623, AACC PRESS:The Fats of Life Summer 2002, LVDD 15 YEARANNIVERSARY ISSUE, Volume AVI No. 3, p. 15-16), and the specific gravitymay be determined based on analyses by ultracentrifugation(Atherosclerosis, 106, p. 241-253, 1994: Atherosclerosis, 83, p. 59,1990).

The small particle LDL to be measured in the present invention is, ingeneral, a sub-fraction of the LDL fraction, the diameter of which isabout 22.0 nm to approximately 25.5 nm, and the specific gravity ofwhich is 1.040-1.063. The reason why LDL is sub-fractionated accordingto the particle size is that a small LDL among LDLs needs to befractionally measured because LDL with a small particle diameter causesmore arteriosclerosis and is higher in malignancy than other LDLs. Sincethe distributions of diameter and specific gravity of a LDL arecontinuous, it is not possible to determine the value of specificgravity above which the malignancy is clearly higher. Thus the specificgravity value of 1.040-1.063 described above is not an establishedcharacteristic of a small particle LDL, but it is the median point ofthe specific gravity range of 1.019-1.063 which is widely used andestablished as the specific gravity of LDL. For example, in a differentreport, small particle LDL is fractionated in the range of 1.044-1.069(Atherosclerosis:106 241-253 1994). There are some differences amongresearchers on how to set the range of the specific gravity of a smallparticle LDL, but with any of the ranges chosen, the presence of a smallparticle LDL is associated with clinical malignancy.

In the present invention, a small particle LDL is defined as a LDL witha low specific gravity among LDLs and with a higher association witharteriosclerosis clinically than other LDLs. Preferably, the smallparticle LDL has a specific gravity range greater than the median pointwithin the range of specific gravity for LDLs. More preferably, thesmall particle LDL is a LDL with the specific gravity in the range of1.040-1.063.

The test sample used in the method of the present invention is serum orplasma, and preferably serum. In the first step, an appropriate volumeof sample is mixed with a polyanion and a divalent cation or apolyanion, a divalent cation and a monovalent cation, so that the finalconcentrations of the polyanion, divalent cation and monovalent cationare pre-determined values. A small particle LDL may be separated fromother LDLs in the presence of a polyanion and a divalent cation, butbetter separation of the fraction containing small particle LDL and HDLmay be achieved by the further presence of a monovalent cation whichacts as an ionic strength adjuster. In this step, a separation solutioncontaining predetermined concentrations of polyanion and divalentcation, or a separation solution containing predetermined concentrationsof polyanion, divalent cation and monovalent cation may be prepared andadded to the test sample. It is also possible to prepare the solutionsof the polyanion, divalent cation and monovalent cation separately atthe predetermined concentrations, and to add these solutions separatelyto the test sample. The order of addition of these individual solutionsto the test sample is not limited. The solvent used to prepare thesolution containing the polyanion and divalent cation or the solutioncontaining polyanion, divalent cation and monovalent cation may bepurified water, physiological saline and various buffers. The pH of theseparation solution is preferably 3-8.

The polyanion used in the first step is preferably heparin,phosphotungstic acid or dexrtran sulfate. After adding the polyanion anddivalent cation, or the polyanion, divalent cation and monovalent cationto the test sample, the preferred final concentration of the polyanionis 10-250 U/mL for heparin, 0.02-1.25% for phosphotungstic and0.02-1.25% for dextran sulfate.

The divalent metal ion used in the first step may be Mn²⁺, Mg²⁺, Ca²⁺ orCo²⁺, and is preferably Mn²⁺, Mg²⁺, Ca²⁺. After adding the polyanion anddivalent cation to the test sample, the preferred final concentration ofthe divalent cation is: 7.5-35 mmol/L for Mn²⁺, 40-125 mmol/L for Mg²⁺and 50-75 mmol/L for Ca²⁺ if heparin is used as the polyanion; 2.5-7.5mmol/L for Mn²⁺, 2.5-50 mmol/L for Mg²⁺ and 1-30 mmol/L for Ca²⁺ ifphosphotungstic acid is used as the polyanion; 2.5-10 mmol/L for Mn²⁺,7.5-30 mmol/L for Mg²⁺ and 5-20 mmol/L for Ca²⁺ if dextran sulfate isused as the polyanion.

Further, when a monovalent cation is used in the first step, amonovalent metal ion such as Na⁺, K⁺ and Li⁺ is preferably used. Thepreferred final concentration of the monovalent cation is 0-50 mmol/L.

For example, 100 μl of the test sample is mixed with 100 μl of aseparation agent containing a polyanion and a divalent cation or aseparation agent containing a polyanion, a divalent cation and amonovalent cation. The concentrations of the polyanion, divalent cationand monovalent cation in the separation agents may be adjusted so thatthe concentrations of the polyanion, divalent cation and monovalentcation in the mixture of the test sample and the separation agent arethe final concentrations described above. The concentration of thepolyanion in the separation agent is preferably 20-500 U/mL for heparin,0.04-2.5% for phosphotungstic acid and 0.04-2.5% for dextran sulfate.The preferred final concentration of the divalent cation in theseparation agent is: 15-70 mmol/L for Mn²⁺, 80-250 mmol/L for Mg²⁺ and100-150 mmol/L for Ca²⁺ if heparin is used as the polyanion; 5-15 mmol/Lfor Mn²⁺, 5-100 mmol/L for Mg²⁺ and 2-60 mmol/L for Ca²⁺ ifphosphotungstic acid is used as the polyanion; 5-20 mmol/L for Mn²⁺,15-60 mmol/L for Mg²⁺ and 10-40 mmol/L for Ca²⁺ if dextran sulfate isused as the polyanion. The preferred concentration of the monovalentcation is 0-100 mmol/L.

After adding the polyanion and divalent cation or the polyanion,divalent cation and monovalent cation to the test sample, the reactionmixture is stirred to cause the reaction of the first step.

It is preferable to carry out the reaction of the first step at atemperature of 2° C.-45° C., and more preferably at 20° C.-37° C.

It is preferable to carry out the reaction of the first step for 1 minto 30 mins, and more preferably for 5 mins to 15 mins.

Further, the optimum concentrations of the polyanion, divalent cationand monovalent cation in the first step may vary depending on thecombination of the type of polyanion, divalent cation and monovalentcation used and also depending on the pH, ionic strength and the like ofthe test sample. Thus, the reaction of the first step of the presentinvention does not necessarily yield the same range for the specificgravity all the time. In particular, small particle LDL with thespecific gravity in the range 1.040-1.063 as described above is notnecessarily obtained. However, if the reaction of the first step iscarried out with the concentrations described above, LDL with an almostequal range of specific gravity may be obtained, and this LDL isincluded in the LDL defined as above. Furthermore, the above descriptionis based on the idea that the specific gravity of small particle LDL hasa fixed range of 1.040-1.063, and even if the specific gravity of LDLobtained in the first step of the present invention is slightly out ofthis range, the difference is not large. The fraction still contains arelatively small particle LDL among the whole LDLs, and thus the amountof the small particle LDL obtained in the first step of the presentinvention reflects the risk of arteriosclerosis of a patient from whomthe test sample is obtained.

Separation of the fraction containing the small particle LDL and HDL inthe first step may be carried out by adding polyethylene glycol (PEG) tothe test sample in place of the polyanion and divalent cation or thepolyanion, divalent cation and monovalent cation. The molecular weightof PEG used here is preferably 4,000-20,000, and the final concentrationof PEG is preferably 4-10%.

After completing the reaction of the first step, the fraction containingthe small particle LDL and HDL may be obtained by centrifuging andcollecting the supernatant. The conditions for centrifugation are at9,000 g-36,000 g for 1-30 mins.

After completing the reaction of the first step, the fraction containingsmall particle LDL and HDL may also be obtained as the pass throughfraction by filtering the reaction mixture. The filter may be a pressurefiltration type or a centrifugal filtration type. The pore size of thefilter used is 0.10-0.80 micrometers, and for example, commerciallyavailable Milex, Ultrafree (MILLIPORE Co.), Minisart (Sartorius Co.),DISMIC (ADVANTEC Co.), HT Tuffryn Acrodisc Syringe Filter (PALL GelmanLaboratory Co.) and the like may be used.

By measuring only the LDL in the fraction containing small particle LDLand HDL obtained in the first step, the small particle LDL in the testsample may be measured.

The LDL measurement may be carried out by measuring cholesterol in LDL,triglycerides in LDL or apoB protein in LDL.

For the second step, several methods for measurement of LDL cholesterolwhich does not require a fractionation procedure have been reported(Japanese Patent Publication Laid Open No. 11-318496, 2002-202314,10-080300, 09-313200, 11-155595, Japanese Patent Publication No.3256241, and the like), and these methods may be preferably used.

For example, LDL in the fraction obtained in the first step containingsmall particle LDL and HDL may be measured according to the methoddescribed in Japanese Patent Publication Laid Open No. 11-318496 asfollows. The test sample, which is the fraction obtained in the firststep containing the small particle LDL and HDL, is treated withcholesterol esterase and cholesterol oxidase in the presence of asurface active agent which acts on lipoproteins other than LDL. Hydrogenperoxide generated in the reaction is removed. These reactions eliminatelipoproteins other than LDL from the test sample (step A), and then theresidual LDL in the test sample may be measured (step B). The surfaceactive agent that acts on lipoproteins other than LDL includespolyalkylene oxide derivatives with a HLB value of 13 or above and 15 orbelow. For example, polyoxyethylene lauryl ether, polyoxyetylene cetylether, polyoxyethylene oleyl ether, polyoxyethylene higher alcoholether, polyoxyetylene octylphenyl ether, polyoxyetylene nonylphenylether and the like are included which are compounds with HLB values of13 or above and 15 or below. The preferred concentration of the abovementioned surface active agent used in step A is about 0.1-10 g/L andmore preferably, about 0.5-5.0 g/L. The method for removing hydrogenperoxide includes a method using catalase to degrade the hydrogenperoxide to water and oxygen, and a method using peroxidase by which aphenolic or aniline hydrogen donor is reacted with hydrogen peroxide andis converted to colorless quinone, but it is not limited to these.

The preferred concentration of cholesterol esterase in the reactionmixture of step A is about 0.2-1.0 U/mL, and the cholesterol esteraseproduced by bacteria of the genus Pseudomonas is effective. Thepreferred concentration of cholesterol oxidase is about 0.1-0.7 U/mL,and cholesterol oxidase produced by bacteria or yeast is preferablyused. Further, the preferred concentration of catalase is about 40-100U/mL. Still further, the preferred concentration of peroxidase, when itis used to convert hydrogen peroxide to colorless quinone, is 0.4-1.0U/mL, and the preferred concentration of the phenolic or anilinehydrogen donor is 0.4-0.8 mmol/L. In step B, the residual cholesterol inthe test sample is measured. For example, the assay may be carried outby adding a surface active agent which acts at least on LDL and bymeasuring the hydrogen peroxide generated by the action of cholesterolesterase and cholesterol oxidase. The surface active agent which acts onLDL includes polyalkylene oxide derivatives with a HLB value of 11 orabove and 13 or below. For example, polyoxyethylene lauryl ether,polyoxyetylene cetyl ether, polyoxyethylene oleyl ether, polyoxyethylenehigher alcohol ether, polyoxyetylene octylphenyl ether, polyoxyetylenenonylphenyl ether and the like are included which are compounds with aHLB value of 11 or above and 13 or below. The preferred reactionconditions for step B is similar to the preferred conditions for step A.

Kits for measuring LDL are commercially available, and LDL may bemeasured using these commercial kits. For example, the commerciallyavailable LDL-EX(N) (DENKA SEIKEN Co.) may be used.

For the second step, several methods are available for measuringtriglycerides in the LDL which do not require fractionation (WOPublication No. 00/43537 and the like), and these methods may be usedappropriately.

For the second step, several methods are available for applyinganti-human apoB antibody (Japanese Patent Publication No. 2638137,Japanese Patent Publication Laid Open No. 02-64458 and the like), andthese methods may be used appropriately.

The present invention includes a kit containing reagents for the firststep where the fraction containing small particle LDL is separated andreagents for measuring the separated small particle LDL. The kit maycontain, for example, the above mentioned reagent kit for measuring aLDL, and a polyanion and divalent cation (or the separating agentcontaining the polyanion and divalent cation) and the like. Furthermore,the kit may contain tubes for centrifugation and separation filters fora small particle LDL. The kit may also contain a monovalent cation inaddition to the polyanion and divalent cation. In this case, the kit maycontain a separation agent which includes the polyanion, divalent cationand monovalent cation. Still further, the kit may contain polyethyleneglycol in place of the polyanion and divalent cation.

The present invention will be explained particularly based on theembodiments as follows. However, the present invention is not limited tothe embodiments described below.

EXAMPLE 1

Efficiency of the first step was studied on samples which were confirmedto contain mainly a small particle LDL by electrophoresis, and othersamples which were rich in LDLs other than a small particle LDL. Fiftyμl of serum was mixed with 50 μl of a separation solution containing 60U/mL of sodium heparin and 40 mmol/L of MnCl₂, and the reaction wasallowed to continue at 25° C. for 15 mins. Then the mixture wascentrifuged at 18,500 g for 15 mins, the supernatant was recovered, andthe reactivity was compared using a commercially available disc typepolyacrylamide gel lipophore. The separation solution and the serabefore the reaction were electrophoresed after dilution with an equalvolume of physiological saline. FIG. 1 shows the method in the step 1 ofthe present invention and FIG. 2 shows the results. FIG. 2 demonstratesthat only normal LDL is selectively removed. In FIG. 2, the lane No. 1demonstrates the result of electrophoresis of the sample rich in LDLother than small particle LDL before the reaction; the lane No. 2demonstrates the result of electrophoresis of the sample rich in smallparticle LDL before the reaction; the lane No. 3 demonstrates the resultof electrophoresis of the sample rich in LDL other than small particleLDL after the reaction; and the lane No. 4 demonstrated the result ofelectrophoresis of the sample rich in small particle LDL after thereaction.

EXAMPLE 2

A small particle LDL in serum sample was measured according to themethod of the present invention and the measured values were comparedwith those obtained by the ultracentrifugation method. The results areshown in FIG. 3.

One hundred μl of the test sample was mixed with 100 μl of theseparation solution containing 300 U/mL of sodium heparin and 150 mmol/LMgCl₂ and allowed to react at 37° C. for 10 min. After the reaction, themixture was centrifuged at 18,500 g for 15 mins, and the supernatant wasrecovered and analyzed for cholesterol in the small particle LDL by acommercial kit LDL-EX(N) (DENKA SEIKEN Co) using Autoanalyzer, Hitachi7170. In the ultracentrifugation method, the mixture of the test serumand a density solution was centrifuged to recover the fraction with thedensity 1.040-1.063. Cholesterol was measured in the recovered fractionto obtain the cholesterol value in the small particle LDL. As shown inFIG. 3, the result of the present invention demonstrated a goodco-relation with the result of the ultracentrifugation method.

EXAMPLE 3

One hundred μl of a serum test sample was mixed with 100 μl of theseparation solution containing 1.5% dextran sulfate with an averagemolecular weight of 5000 and 40 mmol/L of MgCl₂ and allowed to react at25° C. for 10 mins. After the reaction, the mixture was centrifuged at18,500 g for 15 mins, the supernatant was recovered and the amount ofapoB in a small particle LDL is measured by turbidimetric immuno assay(Daiichi Pure Chemicals Co., ApoB aouto-N(Daiichi)) using anti-humanapoB antibody. In the ultracentrifugation method, the mixture of thetest serum and the density solution was centrifuged to recover thefraction with the density 1.040-1.063. ApoB was measured to obtain anapoB value in small particle LDL. The result is shown in FIG. 4. Asshown in the FIG. 4, the result of the present invention demonstrated agood co-relation with the result of the ultracentrifugation method aswas the case with Example 2.

EXAMPLE 4

All the operations were carried out according to Example 2 using thesimilar reagents except that the separation solution was replaced with0.3% sodium phosphotungstic acid and 7.5 mmol/L CaCl₂, and the measuredvalues according to the present invention were compared with thoseobtained by the ultracentrifugation method. The result is shown in FIG.5. As shown in FIG. 5, the result of the present invention demonstrateda good co-relation with the result of the ultracentrifugation method aswas the case with Example 2.

EXAMPLE 5

All the operations were carried out according to Example 2 using thesimilar reagents except that the separation solution was replaced with40 U/mL sodium heparin and 30 mmol/L MnCl₂, and the measured valuesaccording to the present invention were compared with those obtained bythe ultracentrifugation method. The result is shown in FIG. 6. As shownin FIG. 6, the result of the present invention demonstrated a goodco-relation with the result of the ultracentrifugation method as was thecase with the second Example 2.

EXAMPLE 6

All the operations were carried out according to Example 2 using thesimilar reagents except that the separation solution was replaced with500 U/mL sodium heparin, 140 mmol/L MgCl₂ and 34 mmol/L KCl, and themeasured values according to the present invention were compared withthose obtained by the ultracentrifugation method. The result is shown inFIG. 7. As shown in FIG. 7, the result of the present inventiondemonstrated a good co-relation with the result of theultracentrifugation method as was the case with Example 2.

EXAMPLE 7

All the operations were carried out according to Example 2 using thesimilar reagents except that the separation solution was replaced with8% PEG (molecular weight: 6,000), and the measured values according tothe present invention were compared with those obtained by theultracentrifugation method. The result is shown in FIG. 8. As shown inFIG. 8, the result of the present invention demonstrated a goodco-relation with the result of the ultracentrifugation method as was thecase with Example 2.

EXAMPLE 8

One hundred μl of a serum test sample was mixed with 100 μl of theseparation solution containing 150 U/mL sodium and heparin 90 mmol/L ofMgCl₂ and allowed to react at 37° C. for 10 mins. After the reaction,the mixture was centrifuged at 18,500 g for 15 mins, the supernatant wasrecovered and the amount of triglycerides in a small particle LDL wasmeasured using a reagent for measuring triglycerides in LDL. In theultracentrifugation method, the mixture of the test serum and a densitysolution was centrifuged to recover the fraction with the density1.040-1.063. Triglycerides were measured in the recovered fraction toobtain the triglyceride value in a small particle LDL. The result isshown in FIG. 9. As shown in FIG. 9, the result of the present inventiondemonstrated a good co-relation with the result of theultracentrifugation method as was the case with Example 2.

EXAMPLE 9

One hundred μl of a serum test sample was mixed with 100 μl of theseparation solution containing 150 U/mL sodium heparin and 90 mmol/L ofMgCl₂ and allowed to react at 37° C. for 10 mins. After the reaction,the mixture was centrifuged at 10,000 g for 1 min using a centrifugalfilter (Ultrafree-MC (0.1 μm Filter Unit) MILLIPORE Co). Afterrecovering the filtrate, cholesterol in a small particle LDL wasmeasured and compared with the cholesterol measurement value obtained bythe ultracentrifugation method. The result is shown in FIG. 10. As shownin FIG. 10, the result of the present invention demonstrated a goodco-relation with the result of the ultracentrifugation method as was thecase with Example 2.

This specification hereby incorporates all the publications, patents andpatent applications cited in this specification in their entirety byreference.

Industrial Applicability

According to the present invention, a small particle LDL can beseparated with simple procedures from other LDLs, and cholesterol,triglycerides or apoB in a small particle LDL can be fractionallymeasured. Therefore it is very useful for clinical applications.

1. A method for quantifying a small particle low density lipoprotein ina test sample, comprising a first step for separating the small particlelow density lipoprotein from other low density lipoproteins, and asecond step for measuring cholesterol, triglycerides or proteins in theseparated small particle low density lipoprotein.
 2. A method accordingto claim 1, wherein a polyanion and a divalent cation are used forseparating the small particle low density lipoprotein from other lowdensity lipoproteins in said first step.
 3. A method according to claim1 or 2, wherein a monovalent cation is further used for separating thesmall particle low density lipoprotein from other low densitylipoproteins in said first step.
 4. A method according to claim 2 or 3,wherein the polyanion used in said first step is selected from the groupconsisting of heparin, phosphotungstic acid and dextran sulfate.
 5. Amethod according to any one of claims 2 to 4, wherein the divalentcation used in said first step is selected from the group consisting ofMn²⁺, Mg²⁺ and Ca²⁺.
 6. A method according to any one of claims 3 to 5,wherein the monovalent cation used in said first step is selected fromthe group consisting of Na⁺, K⁺ and Li⁺.
 7. A method according to anyone of claims 4 to 6, wherein, when the polyanion is added to the testsample, the final concentration of the polyanion is 10-250 U/mL forheparin, 0.02-1.25% for dextran sulfate and 0.02-1.25% forphosphotungstic acid.
 8. A method according to any one of claims 5 to 7,wherein, when the divalent cation is added to the test sample, the finalconcentration of the divalent cation is 2.5-35 mmol/L for Mn²⁺, 2.5-125mmol/L for Mg²⁺ and 1-75 mmol/L for Ca²⁺.
 9. A method according to anyone of claims 6 to 8, wherein, when the monovalent cation is added tothe test sample, the final concentration of the monovalent cation is0-50 mmol/L.
 10. A method according to claim 1, wherein PEG is used toseparate the small particle low density lipoprotein from other lowdensity lipoproteins in said first step.
 11. A method according to claim10 wherein the final concentration of PEG is 2-5% when PEG is added tothe test sample.
 12. A method according to any one of claims 1 to 11,wherein the measurement of cholesterol in said second step is carriedout by using a reagent which is used for quantitatively measuringcholesterol in a low density lipoprotein and which does not requirefractionation.
 13. A method according to any one of claims 1 to 11,wherein the measurement of triglycerides in said second step is carriedout by using a reagent which is used for quantitatively measuringtriglycerides in a low density lipoprotein and which does not requirefractionation.
 14. A method according to any one of claims 1 to 11,wherein the measurement of protein in said second step is carried out byusing an anti-human apoprotein B antibody.
 15. A method for separating asmall particle low density lipoprotein from a test sample comprising astep in which the low density lipoprotein other than small particle lowdensity lipoproteins is precipitated by adding a polyanion and adivalent cation to the test sample.
 16. A method according to claim 15comprising a step in which the low density lipoprotein other than smallparticle low density lipoproteins is precipitated by also adding amonovalent cation to the test sample.
 17. A method for separating asmall particle low density lipoprotein according to claim 15 or 16,wherein the polyanion is selected from the group consisting of heparin,phosphotungstic acid and dextran sulfate.
 18. A method for separating asmall particle low density lipoprotein according to any one of claims 15to 17, wherein the divalent cation is selected from the group consistingof Mn²⁺, Mg²⁺ and Ca²⁺.
 19. A method for separating a small particle lowdensity lipoprotein according to any one of claims 15 to 18, wherein themonovalent cation is selected from the group consisting of Na⁺, K⁺ andLi⁺.
 20. A method for separating a small particle low densitylipoprotein according to any one of claims 17 to 19, wherein, when thepolyanion is added to the test sample, the final concentration of thepolyanion is 10-250 U/mL for heparin, 0.02-1.25% for dextran sulfate and0.02-1.25% for phosphotungstic acid.
 21. A method for separating a smallparticle low density lipoprotein according to any one of claims 18 to20, wherein, when the divalent cation is added to the test sample, thefinal concentration of the divalent cation is 2.5-35 mmol/L for Mn²⁺,2.5-125 mmol/L for Mg²⁺ and 1-75 mmol/L for Ca^(2+ .)
 22. A method forseparating a small particle low density lipoprotein according to any oneof claims 19 to 21, wherein, when the monovalent cation is added to thetest sample, the final concentration of the monovalent cation is 0-50mmol/L.
 23. A method for separating a small particle low densitylipoprotein from a test sample comprising a step in which PEG is addedto the test sample to precipitate the low density lipoprotein other thansmall particle low density lipoproteins.
 24. A method for separating asmall particle low density lipoprotein according to claim 23, whereinthe final concentration of PEG is 2-5% when PEG is added to the testsample.
 25. A kit for measuring a small particle low density lipoproteincomprising: a separation agent that includes a polyanion and a divalentcation; and a reagent for measuring the low density lipoprotein, whereinthe kit measures cholesterol, triglycerides or proteins in the smallparticle low density lipoprotein.
 26. A kit for measuring a smallparticle low density lipoprotein according to claim 25, wherein theseparation agent further includes a monovalent cation.
 27. A kit formeasuring a small particle low density lipoprotein comprising: aseparation agent that includes PEG; and a reagent for measuring the lowdensity lipoprotein, wherein the kit measures cholesterol, triglyceridesor proteins in the small particle low density lipoprotein.
 28. A kitaccording to claim 25 or 26, wherein the polyanion is selected from thegroup consisting of heparin, phosphotungstic acid and dextran sulfate.29. A kit according to claim 26 or 28, wherein the divalent cation isselected from the group consisting of Mn²⁺, Mg²⁺ and Ca²⁺ and themonovalent cation is selected from the group consisting of Na⁺, K⁺ andLi⁺.